Shapiro Campus Center Space Request for 2016-2017
Please fully complete this form. It will be submitted to the Department of Student Activities.

There is a 24-48 hour turn around time on Space Request. Requests are not processed over the weekends.

Only Organizations accredited by the Student Union and University Departments can reserve space.

Please note that all tabling requests will now be handled by contacting Kelly Whiffen at kwhiffen@brandeis.edu. Please do not use this form for tabling inquiries going forward.

Sponsoring Organization
Must be a University Department or a Union accredidated organization
Your answer
Contact Person
Your answer
Email Address
Your answer
Phone Number
Your answer
Required
Name of Meeting/Event
This will appear on the room cards and daily board
Your answer
Date of Event
Your answer
Time of Event
Please put start and end times of events. If set up time is needed please explain in next question
Your answer
Is this Time and/or Date flexible? If so, I will make suggestions based on availability.
Your answer
Please write a short paragraph describing the event
Depending on the nature of the event, the event may get listed on the university calendar for advertising purposes. If that is the case, the description you include here will be the description used for the university calendar.
Your answer
Frequency of Event
For "every" and "every other" please specify day of the week below. For once a month please list all dates above under date
Required
Day of the Week
Your answer
Space Needed (please check all that apply)
The Carl J. Shapiro Theater is available by reservation. Please use the Theater Request Form
Required
Please describe how you would like the room set-up
Include number of rectangular tables, chairs, and staging. Table cloths, easels, round tables and other equipment can be rented through Conference and Events x64300
Your answer
Will you be serving food? Please describe
Custodial charged may be applied if food is served. Catering and other food services are available from Conference and Events x64300)
Your answer
Will you require the use of Audio-Visual equipment? Please describe?
All conference rooms are equipted with data projector and screen. You will need to provide your own laptop and cord. Equipement not existing may need to be rented through Conference and Events
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Brandeis University. Report Abuse - Terms of Service - Additional Terms